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Individual

DR. ROBERT REX DIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 12TH AVE N, SUITE 210W, BILLINGS, MT 59101-7506
(406) 237-5862
(406) 238-6068
Mailing address
4793 US HIGHWAY 3, BILLINGS, MT 59106-9676
(406) 237-5862
(406) 238-6068

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
7277
MT
2085R0202X
Diagnostic Radiology Physician
Primary
7277
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101253300
WY
01
6031
BLUE CROSS BLUE SHIELD
MT
05
99125
MT
Enumeration date
06/23/2006
Last updated
07/16/2013
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